22 September 2016 : Original article
Complications and Near-Miss Events After Hepatectomy for Living-Related Liver Donation: An Italian Single Center Report of One Hundred Cases
Salvatore GruttadauriaABDE, Duilio PaganoBDF, Ioannis PetridisABCDE, Sergio Li PetriB, Alessandro TropeaB, Giovanni B. VizziniAD, Angelo LucaAF, Bruno G. GridelliAFDOI: 10.12659/AOT.899662
Ann Transplant 2016; 21:596-601
Abstract
BACKGROUND: In healthy individuals, such as liver living donors, potential complications may occur during surgery. Reporting such complications and near-miss events is mandatory to improve living donor management and safety.
MATERIAL AND METHODS: This retrospective study was performed on a prospective database with the aim of providing a brief analysis of the perioperative, medium-term, and long-term complications, and the near-miss events in a single center series of 100 consecutive liver resections for adult-to-adult living-donor liver transplantation.
RESULTS: Only 23.3% of potential living donors underwent surgery. No living donor mortality was reported; 29 patients (29%) experienced at least one complication. Five patients developed mild long-term dysfunction; two aborted hepatectomies, and there were two near-miss events reported.
CONCLUSIONS: A strategy for an accurate assessment of living donor complications and strict selection criterion cannot be overemphasized, as well as the need to continuously update center patient outcome reports.
Keywords: Liver Transplantation, Living Donors, Morbidity
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